Department of Medicine, University of California San Francisco, 550 16th St., 3rd floor, San Francisco, CA, 94158, USA.
Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
AIDS Behav. 2021 Dec;25(Suppl 3):237-250. doi: 10.1007/s10461-021-03186-z. Epub 2021 Feb 15.
Hazardous drinking by persons living with HIV (PLHIV) is a well-established determinant of sub-optimal HIV care and treatment outcomes. Despite this, to date, few interventions have sought to reduce hazardous drinking among PLHIV in sub-Saharan Africa (SSA). We describe an iterative cultural adaptation of an evidence-based multi-session alcohol reduction intervention for PLHIV in southwestern Uganda. The adaptation process included identifying core, theoretically informed, intervention elements, and conducting focus group discussions and cognitive interviews with community members, HIV clinic staff and patients to modify key intervention characteristics for cultural relevance and saliency. Adaptation of evidence-based alcohol reduction interventions can be strengthened by the inclusion of the target population and key stakeholders in shaping the content, while retaining fidelity to core intervention elements.
HIV 感染者（PLHIV）的危险饮酒行为是导致 HIV 护理和治疗效果不佳的一个既定决定因素。尽管如此，迄今为止，在撒哈拉以南非洲（SSA），很少有干预措施试图减少 PLHIV 的危险饮酒行为。我们描述了对乌干达西南部 PLHIV 的基于证据的多轮次酒精减少干预措施的迭代文化适应性调整。适应过程包括确定核心的、有理论依据的干预要素，并与社区成员、HIV 诊所工作人员和患者进行焦点小组讨论和认知访谈，以修改关键干预特征，使其具有文化相关性和突出性。通过让目标人群和主要利益相关者参与塑造内容，可以加强对基于证据的酒精减少干预措施的调整，同时保持对核心干预要素的保真度。
